244354 04/15/15 4,q
J�%" ''� CITY OF CARMEL, INDIANA VENDOR: 360767
.� °• ONE CIVIC SQUARE TERMINAL SUPPLY CO
CHECK AMOUNT: $********38:34*
=a CARMEL, INDIANA 46032 PO BOX 1253 CHECK NUMBER: 244354
M��roN`�°' TROY MI 48099 CHECK DATE:' 04/15/15
DEPARTMENT ACCOUNT PO NUMBERINVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 99864 38.34 REPAIR PARTS
1800 THUNDERBIRD INVOICE
TROY,MICHIGAN 48084 SS-11-toO0000 PAGE 01
Since i%6 > (248)362-0790 - (800) 989-9632
0
® FAX(248)362-0824 REMIT TO:
CjpJPZX COo www.TerminalSupplyCo.com TERMINAL SUPPLY CO.
381 0 P.O. BOX 1253
TROY, MI 48099
22
22 S r_M 132""
o CARMEL FIRIE DEPT H CARMEL FIRE DEPT
L 2 CIVICSQUARE 1 2 CIVIC SQUARE
D P
T
T CARMEL IN 460-32 CARMEL IN 46032
0 0
DATE TSC ORDER NO. F.O.B. CUSTOMER P.O. NO. INVOICE NO.
4401 /15 66905e BOB V 99864-00
SHIPPING POINT
- I - II- 1
DATE SHIPPED SHIPPED VIA TERMS ACCOUNT SL§a
4/ %I /155. P S NET 30 DAYS LVW1 13222 013 1
QUANTITY
ORDERED SHIPPED BACKORDERED DESCRIPTION UNIT PRICE EXTENSION
110 40 1060-14---0122 DEUTSCI-i OPEN BARREL PIN . 77/EA 30. SO
We certify that these goods were produced in compliance with all applicable re- SALES TAX FREIGHT
quirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended, and SUB
of Regulations and orders of the United States Department of Labor issued under . 00 7. 54 TOTAL 30. 80
Section 14 thereof.All material on this invoice is on consignment until invoice is paid
in full.A re-stocking charge may apply. 36. "Di 4
ORIGINAL INVOICE AMOUNT
ISO 9002 Certified THANK YOU DUE'
REV.7/2003
PLEASE PAY LAST AMOUNT IN THIS COLUMN
VOUCHER NO. WARRANT NO.
Terminal Supply ALLOWED 20
IN SUM OF$
P.O. Box 1253
Troy, MI 48099
13"0-
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 99864 42-370.00 430-W— I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
APR 1 3 2015
.Awr I JL AAA
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
99864 $30.80
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer